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US · guidance

CMS SOM App. W, Tag C-1507

§485.643(c) Ensure, in collaboration with the designated OPO, that the family of

activein force · 2026-07-22 – presentas-observed

each potential donor is informed of its option to either donate or not donate organs,

tissues, or eyes. The individual designated by the CAH to initiate the request to the

family must be a designated requestor. A designated requestor is an individual who

has completed a course offered or approved by the OPO and designed in

conjunction with the tissue and eye bank community in the methodology for

approaching potential donor families and requesting organ or tissue donation;

Interpretive Guidelines §485.643(c)

It is the responsibility of the OPO to screen for medical suitability in order to select

potential donors. Once the OPO has selected a potential donor, that person’s family must

be informed of the family’s donation options.

Ideally, the OPO and the CAH will decide together how and by whom the family will be

approached.

The individual designated by the CAH to initiate the request to the family must be a

designated requestor.

A “designated requestor” is defined as a CAH-designated individual who has completed

a course offered or approved by the OPO and designed in conjunction with the tissue and

eye bank community. If possible, the OPO representative and a designated requestor

should approach the family together.

The CAH must ensure that any “designated requestor” for organs, tissues or eyes has

completed a training course either offered or approved by the OPO, which addresses

methodology for approaching potential donor families.

Survey Procedures §485.643(c)

• Verify that the CAH ensures that the family of each potential donor is informed of

its options to donate organs, tissues, or eyes, including the option to decline to

donate.

• Review training schedules and personnel files to verify that all designated

requestors have completed the required training.

• How does the CAH ensure that only designated requestors are approaching

families to ask them to donate?

History

Rev. 200, Issued: 02-21-20; Effective: 02-21-20, Implementation: 02-21-20

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
ece40fe3c4b0671aed248b7a44c0e312b695069e6cb4b61b8fdfe4b8cf890d92
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